Katherine Ann Worthington, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00264300 Issued in NJ

Practice address

2500 English Creek Ave
BLDG 800
Egg Harbor TWP, NJ 08234-5549

Phone

(800) 321-9999

Fax

(609) 677-6061

NPI assigned

Jan 27, 2011

Last updated

Sep 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Accent Head and Neck Group, PA

  • Specialist
  • Linwood, NJ
  • NPI 1447205414
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315094400000",
    "number": "1205132081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG 800",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "800-321-9999",
            "fax_number": "609-677-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG 800",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "800-321-9999",
            "fax_number": "609-677-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2011-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054007",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00264300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Troendle, M.S. CCC-SLP
• Tamara L Vaughan
• Walgreen Co (Walgreens # 13056)
• Rayelle Walters, PHARMD
• Zachary Thomas Wilt, M.D.
• Christina Marie Wrigley, SLP
• John Yacoub
• Yadollah Gorji MD PA
• David Yang, PHARM.D
• Nancy Younan

• Medical Physician Assistant in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.